Factors to consider in evaluating the appropriateness of restraints during forensic evaluations [2018]

Forensic examiners frequently conduct evaluations with individuals who may be regarded as dangerous. To manage this situation, forensic examiners may prefer examinees to wear restraints. Available literature indicates that the use of restraints may be both physically and psychologically detrimental and thus possibly both reduces the yield and limits the

Do scores on the HCR-20 and FAM predict frequency of self-harm in females within a secure psychiatric hospital? [2018]

The Historical, Clinical, and Risk Management scales (HCR-20) and the Female Additional Manual (FAM) are violence risk assessment tools. This study aimed to examine whether scores on the HCR-20 and FAM are related to frequency of self-harm. HCR-20 Version 3 and FAM scores and frequency of self-harm across the following

Personality Traits Differentiate Subgroups of Criminal Offenders With Distinct Cognitive, Affective, and Behavioral Profiles – 2018

Mental illness and substance use disorder are prominent among jail and prison inmates. Developing more effective mental and behavioral health treatment approaches for incarcerated criminal offenders is a critical step toward reducing rates of recidivism and relapse following release. Specifying subgroups of offenders who differ in cognitive, affective, behavioral, and

Physical and mechanical restraint in psychiatric units: Perceptions and experiences of nursing staff – 2018

Highlights • Nurses consider the physical restraint unpleasant, challenging, risky and conflicting. • The majority of nursing staff suffered accidents related to restraint, most of them involving biological material exposure. • Some nursing professionals considered physical restraint normal, therapeutic, punitive, or educational resource. • The nursing assistants were more likely

Re-building Trust after Physical Restraint During Involuntary Psychiatric Hospitalization – 2018

This study attempted to identify the elements which might best minimize the negative consequences of restriction of inpatients and rebuild therapeutic alliance and trust. Through in depth interviews with 15 psychiatric patients who had experience restrained during the last involuntary psychiatric hospitalization. Analysis of the data revealed three major themes

Antisocial features are not predictive of symptom exaggeration in forensic patients – 2018

Purpose To investigate the predictive value of antisocial personality disorder (ASPD) and features of ASPD (i.e., lack of remorse, blame externalization, and deceitfulness) for symptom exaggeration. Methods A sample of forensic psychiatric patients (N = 57) was asked to complete several self‐report instruments (measuring symptom exaggeration, lack of remorse, blame

European Psychiatric Association (EPA) guidance on forensic psychiatry: Evidence based assessment and treatment of mentally disordered offenders – 2018

Forensic psychiatry in Europe is a specialty primarily concerned with individuals who have either offended or present a risk of doing so, and who also suffer from a psychiatric condition. These mentally disordered offenders (MDOs) are often cared for in secure psychiatric environments or prisons. In this guidance paper we

An evaluation of a specialist firesetting treatment programme for male and female mentally disordered offenders (the FIP‐MO) – 2017

Individuals who set deliberate fires are frequently encountered by clinicians working in forensic mental health services. However, little attention has been paid to developing standardised treatment for this behaviour, and few evaluations of treatment have been conducted in forensic mental health services. This study evaluates a new standardised group cognitive

Insanity findings and evaluation practices: A state‐wide review of court‐ordered reports – 2018

Evaluations of legal sanity are some of the most complex and consequential mental health evaluations that forensic clinicians perform for the courts. Thus, there is strong reason to monitor the wide‐scale process and conclusions of sanity evaluations. In this study, we review 1,111 court‐ordered sanity evaluation reports submitted by 74

Recording routine forensic mental health evaluations should be a standard of practice in the 21st century – 2018

The standard of practice for forensic interviews in criminal and delinquency cases, other than those conducted as part of brief preliminary screening evaluations or in emergency situations, should include a digital recording requirement. This standard should be adopted because of the greater availability of, and familiarity with, recording technology on

Patient characteristics and outcome measurement in a low secure forensic hospital – 2017

Background Health services are increasingly required to measure outcomes after treatment, which can be reported to the funding body and may be scrutinised by the public. Extensive high‐quality measurements are time consuming. Routinely collected clinical data might, if anonymised, provide good enough evidence of useful change consequent on service received.

Promoting exercise behaviour in a secure mental health setting: Healthcare assistant perspectives – 2018

Individuals with severe mental illness engage in significantly less amounts of physical activity than the general population. A secure mental health setting can exacerbate barriers to exercise, and facilitate physical inactivity and sedentary behaviour. Healthcare assistants are intimately involved in the daily lives of patients and, therefore, should be considered

Who’s going to leave? An examination of absconding events by forensic inpatients in a psychiatric hospital – 2018

Absconding is a potentially risky event that has wide reaching consequences both for the institution and greater community; however, few studies have examined the characteristics of clients who abscond, their motivations, and details about their absconding event, especially within a forensic context. The purpose of this research was to determine

Psychosocial approaches for individuals with schizophrenia in correctional and forensic psychiatric settings: a rapid review – 2018

Purpose The purpose of this paper is to identify the psychosocial approaches that have been studied and for which positive outcomes have been reported for individuals with schizophrenia in correctional and forensic psychiatric settings. Design/methodology/approach A rapid review of the literature was undertaken. A search was conducted on MEDLINE and

Recording routine forensic mental health evaluations should be a standard of practice in the 21st century – 2018

The standard of practice for forensic interviews in criminal and delinquency cases, other than those conducted as part of brief preliminary screening evaluations or in emergency situations, should include a digital recording requirement. This standard should be adopted because of the greater availability of, and familiarity with, recording technology on

Co-Occurring Mental Illness and Substance Use Disorders in Canadian Forensic Inpatients: Underdiagnosis and Implications for Treatment Planning – 2018

Research suggests that co-occurring substance use disorder (SUD) is prevalent among adults with psychiatric illness. Studies with forensic patients in Australia indicate that co-occurring disorders (CD) are underdiagnosed. To help determine how widespread CD underdiagnosis is in forensic populations internationally, we compared current diagnoses recorded in the clinical record with